In addition, consistent with a minority stress approach, same-sex couples may face barriers due to discrimination and challenges to establishing and maintaining high-quality relationships in some communities Mohr and Daley ; Otis et al. Finally, we created a policy indicator at the state level to measure a context that creates a negative environment for same-sex couples; this indicator DOMA state, flagged couples who lived in a state with a constitutional amendment explicitly banning same-sex marriage as of
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